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General NPI Number Information
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NPI Number | 1649421827
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Entity Type | Organization
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Legal Business Name | DAVID JOHNSTON, O.D.
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Dates
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Enumeration Date | 10/06/2008
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Last Update Date | 10/06/2008
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Provider Practice Location Address
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Address Line | 3900 MONUMENT AVENUE
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City | RICHMOND
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State | VA
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Zip | 23230-3902
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Country | US
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Telephone | 804-358-2191
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Fax | 804-358-7542
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Provider Business Mailing Address
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Address Line | 3900 MONUMENT AVENUE
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City | RICHMOND
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State | VA
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Zip | 23230-3902
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Country | US
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Telephone | 804-358-2191
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Fax | 804-358-7542
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Authorized Official
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Title or Position | O.D.
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Name | DR. DAVID R. JOHNSTON
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Credential |
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Telephone | 804-358-2191
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 0618000069
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License Number State | VA
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